Calculating Your EMS Service s. Average Cost of Service And Unit Hour Analysis

Size: px
Start display at page:

Download "Calculating Your EMS Service s. Average Cost of Service And Unit Hour Analysis"

Transcription

1 Calculating Your EMS Service s Average Cost of Service And Unit Hour Analysis Developed by: 535 Perry Highway Pittsburgh, PA (412) (412) (fax) J.R. Henry Consulting Inc

2 Unit Hour Analysis Worksheet It is imperative for EMS providers to know what their costs are. Unfortunately, many EMS services have not figured out their cost of doing business! For those who have already calculated their estimated costs, we note that that there are many different methods of cost calculation. The main purpose of this form is to help a service determine your Average Cost per Call The UHA is also helpful in measuring productivity as well as overall system costs. This utility allows analysis and benchmarking to determine how effectively your system is working and can be an effective management tool. To fully understand the information contained in the analysis it is prudent to provide a few definitions to assist in understanding the impact of the UHA. A unit hour is equal to one hour of service by a fully equipped and staffed ambulance available for dispatch or assigned to a call. For ambulance services with average turnaround times which are greater than one hour, adjustments can be made to the listed formulas to achieve more accurate estimates. Utilization is a measure of productivity, which compares the available resources (i.e. unit hours) with the actual amount of time those units are being utilized for patient treatment and transport or productive activity. This measurement is calculated to determine the percentage of unit hours actually consumed in productivity compared with the total staffed unit-hours. Unit Hour Analysis Summary: Direct comparison and correlation of UHA between separate ambulance organizations is difficult as utilization rates are dependent on a number of other mitigating factors such as the presence of response time standards, shift length, overall time or length of transports; impact on employee wellness and safety, transport times and turnaround times as well as a variety of other operational and administrative issues. Typically, EMS organizations strive for the highest utilization rates possible, with optimal overall utilization rates being considered in the range. We utilize the following general scale when evaluating overall UHU: Optimal Utilization Above Average Utilization Average Utilization Below Average Utilization Poor Utilization The following is a Cost / Unit Hour Analysis Form with instructions. These instructions are provided in order to attempt to standardize the methodology used to calculate costs and achieve maximum understanding, of the calculation method. In completing this form, you will need to know your costs as they relate to your ambulance calls only (i.e., no wheelchair van costs) J.R. Henry Consulting Inc. Page 2 6/14/2011

3 UNIT HOUR ANALYSIS BASED ON FINANCIAL AND OPERATIONAL DATA FOR A FISCAL YEAR 1. TOTAL UNIT HOURS PER WEEK = (A) Manned Ambulance Hours Estimated number of hours staffed per week. (See example listed below) 2. AVERAGE CALL VOLUME PER WEEK = (B) Calls Per Week Estimated number of responses (including all transports, stand bys, refusals and other no transport calls for the fiscal year / divided by weeks in a year. 3. UNIT HOUR UTILIZATION = (B/A) Calls Per Unit Hour 4. SHIFT UTILIZATION = (B/A) x 8 hrs. Calls Per Unit Shift 5. TOTAL EXPENSES PER WEEK = (C) $ Expense Per Week Take your total expenses per year divided by week. 6. TOTAL EXPENSES PER DAY = (C)/7 Days $ Expenses Per Day 7. COST PER UNIT HOUR: (Line C divided by Line A) $ Cost Per Unit Hour B. Depreciation Cost for Ambulance(s) (If not included in #6) $ Increase for Ambulance Dep. C. Depreciation Cost for Building(s) (If not included in #6) $ Increase for Building Dep. D. Depreciation Cost for Equipment (If not included in #6) $ Increase for Equipment Dep. E. Add Lines #7A, #7B, #7C and #7D = (E) $ Adjusted Cost Per Unit Hour 8. COST PER UNIT SHIFT = (E) x 8 hours $ Cost Per Unit Shift The shift length can be adjusted but we have selected the eight hour shift as a standard shift length 9. COST PER CALL = (Line 8 divided by Line 4) $ Cost Per Call 10. OVERALL SYSTEM COST PER CALL: A. Line 9 times X % $ % Increase for non-transport Take Line 9 times the percentage of your annual ambulance calls that you respond to a location, but do not transport a patient. B. Line 9 times X % $ % CA / Bad Debt Allowance Take Line 9 times your current ambulance collection percentage including Contractual Allowance and Bad Debt amounts (For example, if your gross collection percentage is 60% use 40% as your multiplier). C. Line 9 $ Cost Per Call Enter the amount you have on Line 9. D. Add Lines #10A, #10B and #10C $ Adjusted Cost Per Call E. Enter Your Profit Margin Per Call $ Profit Margin Per Call F. Add Lines #10D and #10E $ Overall System Cost Per Call This line should help to verify the minimum amounts which should be billed for each call J.R. Henry Consulting Inc

4 Line # 1: TOTAL UNIT HOURS PER WEEK = (A) Unit Hour Analysis Worksheet Instructions A unit hour is an hour in which a vehicle is actually staffed. One unit hour = one ambulance staffed with two providers for one hour. For example: Staffed Ambulances # Of Hours per Day # Of Days per Week Unit Hours per Week Total Unit Hours Per Week (A) 436 Calculate only using the number of crews required to staff ambulances. A typical crew consists of 2 persons. However, If you have an extra EMT or Paramedic scheduled on a particular shift, you use should list 1.5 crews. You should also include scheduled volunteer or on-call crews which may respond from home. If a vehicle is staffed, by either paid or volunteer crew on-station or responding from home, you should count those hours in the total Unit Hours per Week. Line # 2: AVERAGE CALL VOLUME PER WEEK = (B) Take all of your ambulance responses, emergency and non-emergency, including no-transport calls and stand-bys, to identify your total annual responses (all of your out the door calls) and divide that number by weeks in a year, giving you your Average Call Volume per Week number. Make sure you have removed from your annual responses, those trips that are not ambulance calls (i.e., alternative transportation modes such as wheelchair van, invalid coach, etc.). Line # 3: UNIT HOUR UTILIZATION Take Line #2 (B), Average Call Volume per Week, and divide that by Line #1 (A), your Total Unit Hours per Week. This gives you the Calls per Unit Hour number which can be converted to a percentage by moving the decimal point two spaces to the right. Line # 4: SHIFT UTILIZATION: Take your Calls Per Unit Hour number and multiply it by 8 hours in a shift, giving you your Calls Per Unit Shift number. Line # 5: TOTAL EXPENSES PER WEEK = (C) List all ambulance related administrative and operational expenses. Make sure you remove any expenses that do not pertain to ambulance calls (i.e., wheelchair or invalid coach expenses, etc.). Line # 6: TOTAL EXPENSES PER DAY Now that you have your Total Expenses Per Week, Line #5, take that number and divide it by seven, giving you your Total Expenses Per Day number J.R. Henry Consulting Inc. Page 4 6/14/2011

5 Unit Hour Analysis Worksheet Line # 7 (A to E): A. COST PER UNIT HOUR: (C) divided by (A) $ Cost Per Unit Hour Take the Total Expenses per Week, Line #5, and divide it by your Total Unit Hours Per Week, Line #1, giving you your Cost Per Unit Hour. B. Depreciation Cost for Ambulance(s) $ Increase for Vehicle Dep. If the depreciation of your vehicle(s) is not included in your Total Expenses, Line #5, you should calculate that expense and add it here. To get that number, take the cost of a vehicle and divide it by the number of years of depreciation or its useful life. Then take that number and divide it by 8,760 hours in a year, giving you the Depreciation Cost per Hour for that vehicle. Repeat this step for all emergency vehicles you have in service. Add up all the Depreciation Cost per Hour totals, giving your the Increase for Vehicle Depreciation number. C. Depreciation Cost for Building(s) $ Increase for Building Dep. If the depreciation of your building(s) is not in your Total Expenses, Line #5, you should calculate that expense and add it here. To get that number, take the cost of a building(s) and divide it by the number of years of depreciation. Then take that number and divide it by 8,760 hours in a year, giving you the Depreciation Cost per Hour for that building. Repeat this step for all the buildings you own. Add up all the Depreciation Cost per Hour totals, giving you the Increase for Building Depreciation number. D. Depreciation Cost for Equipment $ Increase for Equipment Dep. If the depreciation of your equipment is not in your Total Expenses, Line #5, you need to calculate that expense and add it here. To get that number, take the cost of a equipment on your depreciation list and divide it by the number of years of depreciation. Then take that number and divide it by 8,760 hours in a year, giving you the Depreciation Cost Per Hour for that piece of equipment. Repeat this step for all the equipment on your service s depreciation list. Add up all the Depreciation Cost Per Hour totals, giving you the Increase for Equipment Depreciation number J.R. Henry Consulting Inc. Page 5 6/14/2011

6 Unit Hour Analysis Worksheet E. Add Lines #7A, #7B, #7C and #7D = (E) $ Adjusted Cost Per Unit Hour Line # 8: COST PER UNIT SHIFT Take the Adjusted Cost Per Unit Hour number, Line #7 (E), and multiply that number by eight hours, giving you your Cost Per Unit Shift number. For internal purposes, the number of hours per shift may be modified to match you shift length. Line # 9: COST PER CALL Take the Cost Per Unit Shift number, Line #8, and divided by the Shift Utilization number, Line #4, giving you the Cost Per Call number. Line # 10 (A to F): OVERALL SYSTEM COST PER CALL: A. Line 9 times X % $ % Increase for non-transport Take Line 9 times the percentage of your annual ambulance calls that you respond to a location, but do not transport a patient. B. Line 9 times X % $ % Bad Debt Allowance If your Bad Debt Allowance is not in your Total Expenses, Line #5, you need to calculate that expense and add it here. Take Line 9 times the percentage of your ambulance calls that are placed into Bad Debt. C. Line 9 $ Cost Per Call Enter the amount you have on Line 9. D. Add Lines #10A, #10B and #10C $ Adjusted Cost per Call E. Enter Your Profit Margin (Net Revenue) per Call $ Profit Margin per Call Profit is an estimated amount of excess revenue income over the expenses. No business can exist for long unless it earns a profit. Non-Profit organizations should still estimate a profit margin, as long as they reinvest that profit back into the company. Insert projected profit margin on this line. F. Add Lines #10D and #10E $ Overall System Cost Per Call This line total is the amount you are to list on the Cost of Service Form J.R. Henry Consulting Inc. Page 6 6/14/2011

The Business of Ambulance Services. Economic Efficiency & System Funding. The Three E s. Efficiency. Economy. Effectiveness

The Business of Ambulance Services. Economic Efficiency & System Funding. The Three E s. Efficiency. Economy. Effectiveness Economic Efficiency & System Funding The Business of Ambulance Services Complex economic model Variability between ambulance services Challenge to balance expenses and revenue The Three E s Efficiency

More information

Do You Know Your Collection Percentage?

Do You Know Your Collection Percentage? EMS Economics March 26, 2008 Douglas M. Wolfberg,, Esquire A Key to Financial Success: Properly Measure Your Billing Performance Do You Know Your Collection Percentage? Gross Collection Versus Net Collection

More information

1. Name of applicant: 2. Mailing Address : (street) (city/state) (zip) 3. Location Address (es): (street) (city/state) (zip)

1. Name of applicant: 2. Mailing Address : (street) (city/state) (zip) 3. Location Address (es): (street) (city/state) (zip) ADMIRAL INSURANCE COMPANY 6455 East Johns Crossing, Suite 240 Duluth, GA 30097 Phone: 770-476-1561 Fax: 770-418-9597 Internet: http://www.admiralins.com AMBULANCE SERVICES PROFESSIONAL LIABILITY APPLICATION

More information

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited

Copyright 2009, National Academy of Ambulance Coding Unauthorized copying/distribution is strictly prohibited Your instructor Levels of Service National Academy of Ambulance Coding Steve Wirth Founding Partner, Page, Wolfberg & Wirth LLC Over 30 years experience as an EMT, Paramedic, Flight Medic, EMS Instructor,

More information

SUBSCRIPTION TERMS AND CONDITIONS

SUBSCRIPTION TERMS AND CONDITIONS SUBSCRIPTION TERMS AND CONDITIONS Subscribers of Jefferson Hills Area Ambulance Association hereinafter referred to as JHAAA, receive the benefit of unlimited access to basic and advanced life support

More information

AMBULANCE TRANSPORTATION GROUND

AMBULANCE TRANSPORTATION GROUND AMBULANCE TRANSPORTATION GROUND Policy NHP reimburses licensed ambulance providers for the provision of medically necessary ambulance ground transportation in a medical emergency for NHP members in accordance

More information

Defining KPIs to Maximize Business Performance

Defining KPIs to Maximize Business Performance Defining KPIs to Maximize Business Performance Operating a high-performance EMS organization can be challenging to say the least. Management needs timely, relevant, actionable information to achieve the

More information

Cranberry Township EMS Ambulance Service Subscription Program

Cranberry Township EMS Ambulance Service Subscription Program Did you know the average ambulance ride costs $850? Cranberry EMS Subscriptions are just $60 for your entire household for one year. Through the Ambulance Service Subscription Program, you can save hundreds

More information

Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy

Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy Ambulance and Medical Transport Services (Ground, Air and Water) Corporate Medical Policy File name: Ambulance and Medical Transport Services (Ground, Air and Water) File code: UM.SPSVC.06 Origination:

More information

Subject: Transportation Services: Ambulance and Nonemergent Transport

Subject: Transportation Services: Ambulance and Nonemergent Transport UniCare Health Plan of West Virginia, Inc. Medicaid Managed Care Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 03/01/15 Committee Approval Obtained:

More information

Subject: Transportation Services: Ambulance and Non-Emergent Transport

Subject: Transportation Services: Ambulance and Non-Emergent Transport Reimbursement Policy Subject: Transportation Services: Ambulance and Non-Emergent Transport Effective Date: 01/01/15 Committee Approval Obtained: 01/01/15 Section: Transportation ***** The most current

More information

Application for Non-Emergency Ambulance Service Certificate of Operation Alameda County Emergency Medical Services

Application for Non-Emergency Ambulance Service Certificate of Operation Alameda County Emergency Medical Services Application for Non-Emergency Ambulance Service Certificate of Operation Alameda County Emergency Medical Services Initial Application Renewal Application Information Update Street City State Zip Phone:

More information

Non-Profit Management Seminar

Non-Profit Management Seminar Managing Non-Profit Public Safety Organizations Disclaimer The information contained in this presentation is not intended and should not be construed as legal advice or direction. The consultant plans

More information

Income Measurement and Profitability Analysis

Income Measurement and Profitability Analysis PROFITABILITY ANALYSIS The following financial statements for Spencer Company will be used to demonstrate the calculation of the various ratios in profitability analysis. Spencer Company Comparative Balance

More information

GAO AMBULANCE PROVIDERS. Costs and Expected Medicare Margins Vary Greatly. Report to Congressional Committees

GAO AMBULANCE PROVIDERS. Costs and Expected Medicare Margins Vary Greatly. Report to Congressional Committees GAO United States Government Accountability Office Report to Congressional Committees May 2007 AMBULANCE PROVIDERS Costs and Expected Medicare Margins Vary Greatly GAO-07-383 Accountability Integrity Reliability

More information

Non-Emergent Medical Transportation Program Guide. Reservations 503-315-5544 888-315-5544. Fax: 503-315-5514

Non-Emergent Medical Transportation Program Guide. Reservations 503-315-5544 888-315-5544. Fax: 503-315-5514 Non-Emergent Medical Transportation Program Guide Reservations 503-315-5544 888-315-5544 Fax: 503-315-5514 Table of Content Introduction....1 Client Eligibility....2 Scheduling a Ride....3 When to be Ready....5

More information

Reimbursement Policy. Subject: Transportation Services: Ambulance and Nonemergent Transport. Policy

Reimbursement Policy. Subject: Transportation Services: Ambulance and Nonemergent Transport. Policy Reimbursement Policy Subject: Transportation Services: Ambulance and Nonemergent Transport Effective Date: 12/06/10 Committee Approval Obtained: 08/18/14 Section: Transportation *****The most current version

More information

Emergency Medical Services Association of Colorado

Emergency Medical Services Association of Colorado EMSAC Emergency Medical Services Association of Colorado 2015 Fact Sheet is a non-partisan, not-for-profit association of individual professionals and EMS agencies public and private that respond to injuries

More information

EMS DUTY POLICY. PURPOSE: The purpose of this policy is to define a member's status, minimum duty hour requirements and scheduling process.

EMS DUTY POLICY. PURPOSE: The purpose of this policy is to define a member's status, minimum duty hour requirements and scheduling process. Virginia Beach Department of Emergency Medical Services CASS # 103.01.01 Index # Operations EMS DUTY POLICY PURPOSE: The purpose of this policy is to define a member's status, minimum duty hour requirements

More information

ALVIN EMERGENCY MEDICAL SERVICE. Business Plan

ALVIN EMERGENCY MEDICAL SERVICE. Business Plan ALVIN EMERGENCY MEDICAL SERVICE 709 E. House St. Alvin, TX 77511 Phone: 281-388-4363 Fax: 281-388-4361 Business Plan TABLE OF CONTENTS Executive Summary.. 3 Mission, Vision, and Values..3 Expansion Summary..3

More information

RFP #13-010-21, Emergency Ambulance Services Clarification Questions/Answers

RFP #13-010-21, Emergency Ambulance Services Clarification Questions/Answers RFP #13-010-21, Emergency Ambulance Services Clarification Questions/Answers 1. May we have a complete copy of the current contract in Shelby County including all appendices and the current ambulance rates

More information

An Introduction to our Services

An Introduction to our Services An Introduction to our Services Ambulance services are at the front line of the NHS. That s why, at Yorkshire Ambulance Service (YAS), we put patients and their needs at the heart of everything we do.

More information

AMBULANCE STUDY COMMITTEE QUARTERLY REPORT

AMBULANCE STUDY COMMITTEE QUARTERLY REPORT AMBULANCE STUDY COMMITTEE QUARTERLY REPORT TO THE TYNGSBOROUGH BOARD OF SELECTMAN; The Ambulance Study Committee has held five meetings since our initial organizational meeting in October, 2014. The committee

More information

Assisted Transport to Hospital A guide to local hospital transport services

Assisted Transport to Hospital A guide to local hospital transport services Patient Information Leaflet Assisted Transport to Hospital A guide to local hospital transport services Produced By: The Patient Transport Service Date: March 2013 Review due: March 2016 1 Please help

More information

FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION

FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION FEE SCHEDULE NEW YORK STATE MEDICAID TRANSPORTATION NYS Medicaid Transportation Schedule Ambulance A0422 A0420 A0424 A0425 A0426 A0427 A0428 A0429 A0430 A0431 A0432 A0433 A0434 A0435 A0436 A0999 Advanced

More information

AMBULANCE PROVIDER FORM SPECIAL FORM SPECIALTY CARE PROVISION

AMBULANCE PROVIDER FORM SPECIAL FORM SPECIALTY CARE PROVISION AMBULANCE PROVIDER FORM SPECIAL FORM SPECIALTY CARE PROVISION INSTRUCTIONS: To be completed by Ambulance Provider Administrator ONLY. This form should be completed by Providers licensed at the Specialty

More information

At Elite Ambulance, we are always here to serve you.

At Elite Ambulance, we are always here to serve you. FAQ Important Disclaimer: The following FAQ section includes information regarding health provider decisions, health and payment matters not financial matters. None of the following questions or answers

More information

Transportation for health care appointments just got easier with

Transportation for health care appointments just got easier with Transportation for health care appointments just got easier with Molina Medicare! With Molina Medicare Options Plus HMO SNP Plan, we offer the added benefit of non-emergency transportation to get you to

More information

Ambulance Services, Medical Transport Mainform Application

Ambulance Services, Medical Transport Mainform Application Applicant Information 1. Applicant name: 2. Principal business address (attach separate sheet if more than one location): 3. Telephone number: 4. Date established: 5. Applicant s practice is a: Solo practitioner

More information

Close Banner Health North Colorado Medical Center Paramedic Services (322) Date submitted: 2/13/2015

Close Banner Health North Colorado Medical Center Paramedic Services (322) Date submitted: 2/13/2015 Page 1 of 13 Colorado EMTS Provider Grant Request Close Banner Health North Colorado Medical Center Paramedic Services (322) Date submitted: 2/13/2015 Organization Information 1. Legal Name of Organization:

More information

GAO AMBULANCE SERVICES. Changes Needed to Improve Medicare Payment Policies and Coverage Decisions. Testimony

GAO AMBULANCE SERVICES. Changes Needed to Improve Medicare Payment Policies and Coverage Decisions. Testimony GAO United States General Accounting Office Testimony Before the Committee on Governmental Affairs, U.S. Senate For Release on Delivery Expected at 9:15 a.m. Thursday, November 15, 2001 AMBULANCE SERVICES

More information

Testimony for Public Hearing For the En Banc Transportation Hearing August 28, 2014

Testimony for Public Hearing For the En Banc Transportation Hearing August 28, 2014 Testimony for Public Hearing For the En Banc Transportation Hearing August 28, 2014 Good afternoon Chairman Powelson and Commissioners, I am Dean Bollendorf, President of the Ambulance Association of Pennsylvania

More information

NAPCS Product List for NAICS 62191: Ambulance Services

NAPCS Product List for NAICS 62191: Ambulance Services NAPCS List for NAICS 62191: Ambulance Services 62191 1 Ambulance Providing emergency or non-emergency transportation and medical assistance in a vehicle (surface or air) that includes equipment, supplies,

More information

Project Description: Background Need and Objectives Evaluating Cost

Project Description: Background Need and Objectives Evaluating Cost Project Summary The City of Erlanger s Advanced Life Support (ALS) System is designed to provide supplemental advanced medical care to assist the Emergency Medical Services of the cities of Erlanger, Edgewood,

More information

Medical Coverage Policy Ambulance: Ground Transport

Medical Coverage Policy Ambulance: Ground Transport Medical Coverage Policy Ambulance: Ground Transport Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2001 Policy Last Updated: 6/19/2012 Prospective review is recommended/required.

More information

TransLink Medical Transportation Brokerage Member Program Guide

TransLink Medical Transportation Brokerage Member Program Guide TransLink Medical Transportation Brokerage Member Program Guide Updated January 2015 TransLink 239 E. Barnett Rd, Medford, Oregon 97501 (541) 842-2060 Toll Free 1-888-518-8160 Oregon Relay Service - 711

More information

Ambulance Service of Manchester, LLC.

Ambulance Service of Manchester, LLC. Ambulance Service of Manchester, LLC. January 21, 2014 Continuous operation since 1959 (54 years), 26 years experience providing Advanced Life Support (Paramedic) service. 28 ambulances. One Paramedic

More information

WHEN SECONDS COUNT! Serving South Carolina Since 1976. Medshore is there, with the right care..

WHEN SECONDS COUNT! Serving South Carolina Since 1976. Medshore is there, with the right care.. WHEN SECONDS COUNT! Serving South Carolina Since 1976 Medshore is there, with the right care.. Medshore Ambulance Service has been providing emergency, non-emergency ambulance and medical transportation

More information

2012 Annual Report 2012 Annual Report

2012 Annual Report 2012 Annual Report YOE FIRE CO. AMBULANCE SERVICE INC. 2012 Annual Report 2012 Annual Report Our Resolute Commitment to the Community s Our Resolute Commitment to the Emergency Healthcare Needs Community s Emergency Healthcare

More information

An ordinance governing the granting of franchises for ambulance transportation services.

An ordinance governing the granting of franchises for ambulance transportation services. AN ORDINANCE REGULATING AMBULANCE SERVICE AND GRANTING OF FRANCHISES TO AMBULANCE OPERATORS An ordinance governing the granting of franchises for ambulance transportation services. The Washington County

More information

When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive

When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive 1 When you document an incident, you are writing for several different audiences. There s the legal audience the number of records requests we receive from attorneys continues to grow. There s the patient

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject References Emergency Medical Services Administrative Policies and Procedures Authorization of Ambulance Provider Agencies in Tulare County California

More information

Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation

Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation Invitation to Bid for Medical Assistance Transportation BID # 201302 Non Emergency Ambulance Transportation Issuing Agency: Purpose of RFP: Queen Anne s County Department of Health 206 North Commerce Street

More information

Module 2: Preparing for Capital Venture Financing Building Pro-Forma Financial Statements

Module 2: Preparing for Capital Venture Financing Building Pro-Forma Financial Statements Module 2: Preparing for Capital Venture Financing Building Pro-Forma Financial Statements Module 2: Preparing for Capital Venture Financing Building Pro-Forma Financial Statements TABLE OF CONTENTS 1.0

More information

Strathcona County Alberta Emergency Services Master Plan August 2012 25200 SW Parkway Ave. Suite 3 Wilsonville Oregon 97070 www.esci.

Strathcona County Alberta Emergency Services Master Plan August 2012 25200 SW Parkway Ave. Suite 3 Wilsonville Oregon 97070 www.esci. Strathcona County Alberta Emergency Services Master Plan August 2012 25200 SW Parkway Ave. Suite 3 Wilsonville Oregon 97070 www.esci.us 800-757-3724 Strathcona County, Alberta Emergency Services Master

More information

Associated Files: Ratios worksheet

Associated Files: Ratios worksheet Unit 4 Business accounting Ratios Instructions and answers for Teachers These instructions should accompany the OCR resource Ratios which supports the OCR Level 3 Cambridge Technicals in Business Unit

More information

MONOC s Paramedic Services;

MONOC s Paramedic Services; MONOC s Paramedic Services; How We Determine What to Charge and Why it Seems so Much? A State Mandated, Unique Two-Tier System There are two levels of EMS (emergency medical services) in New Jersey. They

More information

EMERGENCY MEDICAL SERVICES

EMERGENCY MEDICAL SERVICES EMERGENCY MEDICAL SERVICES Oklahoma State Department of Health Protective Health Services - 0511 Emergency Medical Services 1000 NE 10th Street Oklahoma City, OK 73117-1299 Telephone: (405271-4027 FAX:

More information

Medical Coverage Policy Ground Ambulance

Medical Coverage Policy Ground Ambulance Medical Coverage Policy Ground Ambulance Device/Equipment Drug Medical Surgery Test Other Effective Date: 11/29/2004 Policy Last Updated: 12/06/2011 Prospective review is recommended/required. Please check

More information

Work at Home - Sterling Ambulance

Work at Home - Sterling Ambulance A TRUSTED AUTHORITY IN PROVIDING QUALITY PREHOSPITAL CARE Sterling Ambulance proposes to enter into contracts to provide 911 Emergency Medical Service to the Town of Hope. The details are outlined in the

More information

How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.

How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida. 1 How Do I Ask Questions During this Webinar? Questions that arise during the training may be emailed to: elibrarytraining@ahca.myflorida.com 2 Training Objectives Provide an overview of the Florida Medicaid

More information

How To Run A City Hall Program

How To Run A City Hall Program Director Benefits Safety Administrative Program Training/Development Employee/Employer Relations Workers Compensation Recruitment Classifications & Compensation Youth Job Training Description of the Service

More information

SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM

SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM APPROVED: EMS Medical Director EMS Administrator 1. Purpose 1.1 To establish policy and procedures for paramedic first response and

More information

ADDENDUM NO. 1. February 15, 2016

ADDENDUM NO. 1. February 15, 2016 Office of the Mayor-President Purchasing Division City of Baton Rouge Parish of East Baton Rouge 222 Saint Louis Street, Room 826 P.O.Box1471 Baton Rouge, Louisiana 70821 Patti J. Wallace, CPPB Director

More information

The Ontario Hospital Association. Non-Emergency Ambulance Transfer Issues for Ontario s Hospitals

The Ontario Hospital Association. Non-Emergency Ambulance Transfer Issues for Ontario s Hospitals The Ontario Hospital Association Non-Emergency Ambulance Transfer Issues for Ontario s Hospitals September 2004 Issue Ambulance services are an integral component in the overall delivery of health care

More information

Sentimental Journey. Ambulance Model Project

Sentimental Journey. Ambulance Model Project Sentimental Journey Ambulance Model Project The program is a collaborative effort between hospice organizations and EMS transport services to provide special trips to requested destinations for inhouse

More information

Northwest EMS, Inc. Serving the communities of northwestern Lancaster County

Northwest EMS, Inc. Serving the communities of northwestern Lancaster County Northwest EMS, Inc. Serving the communities of northwestern Lancaster County Annual Report 2013 Northwest EMS is very grateful for your continued support of the pre-hospital emergency service we provide

More information

VENDOR QUESTIONS. Broker for NEMT Services for Fee for Service Population

VENDOR QUESTIONS. Broker for NEMT Services for Fee for Service Population RFI YH1-000 PAGE 1 Phoenix, Arizona 50 1. 2... 5. NA NA NA NA NA Background of Project Purpose NA In order to properly calculate the estimated annual Program expenditure, can provide the total number of

More information

REGULATIONS, RATES AND CHARGES GOVERNING THE FOLLOWING SERVICES:

REGULATIONS, RATES AND CHARGES GOVERNING THE FOLLOWING SERVICES: BERNALILLO COUNTY HEALTH CARE CORPORATION d/b/a ALBUQUERQUE AMBULANCE SERVICE NMPRC Certificate No. 1168 TARIFF No. 1-W Cancels TARIFF No. 1-V RULES, REGULATIONS, RATES AND CHARGES GOVERNING THE FOLLOWING

More information

Changing Transport Needs Expectations of HACC Clients. Helen Battellino and Julie Gee Community Transport Northern Sydney

Changing Transport Needs Expectations of HACC Clients. Helen Battellino and Julie Gee Community Transport Northern Sydney Changing Transport Needs Expectations of HACC Clients Helen Battellino and Julie Gee Community Transport Northern Sydney Transport the Essential Connector Basic human contact the meeting of the eyes, exchanging

More information

Clinical Medical Policy Ambulance Transportation. Benefit Coverage

Clinical Medical Policy Ambulance Transportation. Benefit Coverage Benefit Coverage A. Preface Transportation to medical appointments is a benefit for RIte Care, Sub Care, CSN, and RHP members. Members are expected to provide their own transportation to medical appointments;

More information

THIS PAGE INTENTIONALLY LEFT BLANK

THIS PAGE INTENTIONALLY LEFT BLANK THIS PAGE INTENTIONALLY LEFT BLANK LIFECARE WHEELCHAIR TRANSPORTATION, INC. LORAIN COUNTY TABLE OF CONTENTS Title Page Independent Auditor s Report... 1 Compliance Examination Report... 3 Recommendation:

More information

Community Referrals by EMS. An Extension of Service

Community Referrals by EMS. An Extension of Service Community Referrals by EMS An Extension of Service Paramedics Often the first point of contact to the healthcare continuum Strong patient advocacy skills First hand knowledge of the patient s living conditions

More information

* See Major Budget Changes C-10. The above organizational chart depicts full-time employees only LEGEND: Fire Chief. Secretary. Deputy * Fire Chief

* See Major Budget Changes C-10. The above organizational chart depicts full-time employees only LEGEND: Fire Chief. Secretary. Deputy * Fire Chief FIRE DEPARTMENT ORGANIZATIONAL CHART Fire Chief Secretary Deputy * Fire Chief Office Assistant Battalion Chief A Shift Battalion Chief B Shift Battalion Chief C Shift Fire Captains Fire Captains Fire Captains

More information

Chapter Quarterly Financial Report Instructions (Quarterly Format)

Chapter Quarterly Financial Report Instructions (Quarterly Format) Chapter Quarterly Financial Report Instructions (Quarterly Format) Chapters are expected to maintain 100% compliance with reporting requirements to National. This is important because chapters are organized

More information

Department of Health Trauma Transport Protocols Manual December, 2004

Department of Health Trauma Transport Protocols Manual December, 2004 Department of Health Trauma Transport Protocols Manual December, 2004 1 Table of Contents Page Number Introduction and Purpose of Manual 1 Organization of TTPs and General Instructions 2 Section 1 - Organizational

More information

Frequency & Delivery Method of Program

Frequency & Delivery Method of Program The following questions were asked during the webinar: CoAEMSP Interpretations: Preceptor Training, which was offered in March 2011. At the end of this document are suggestions and additional information

More information

Key Concepts and Skills. Standardized Financial. Chapter Outline. Ratio Analysis. Categories of Financial Ratios 1-1. Chapter 3

Key Concepts and Skills. Standardized Financial. Chapter Outline. Ratio Analysis. Categories of Financial Ratios 1-1. Chapter 3 Key Concepts and Skills Chapter 3 Working With Financial Statements Know how to standardize financial statements for comparison purposes Know how to compute and interpret important financial ratios Know

More information

Final Adoption 6/26/08 114.3 CMR 27.00: AMBULANCE SERVICES. Section

Final Adoption 6/26/08 114.3 CMR 27.00: AMBULANCE SERVICES. Section 114.3 CMR 27.00: AMBULANCE SERVICES Section 27.01: General Provisions 27.02: General Definitions 27.03: General Rate Provisions and Maximum Fees 27.04: Filing and Reporting Requirements 27.05: Severability

More information

BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. REQUESTED BY: DEPARTMENT: PREPARED BY: Name: Joseph V. Ferrara Fire Rescue Margy Mills

BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY. REQUESTED BY: DEPARTMENT: PREPARED BY: Name: Joseph V. Ferrara Fire Rescue Margy Mills 4D2 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY PLACEMENT: CONSENT PRESET: TITLE: (COPCN) AGENDA ITEM DATES: MEETING DATE: 10/28/2014 COMPLETED DATE: 10/16/2014 COUNTY ATTORNEY: 10/6/2014 ASSISTANT

More information

Genesee County Ambulance Transport Option Analysis Report

Genesee County Ambulance Transport Option Analysis Report Consultant Report Genesee County Ambulance Transport Option Analysis Report April 5, 2006 303 Marshall Road, Box 170 Platte City, MO 64079 (816) 431-2600 www.fitchassoc.com Consultant Report Genesee County

More information

http://www.guido.be/intranet/enqueteoverview/tabid/152/ctl/eresults...

http://www.guido.be/intranet/enqueteoverview/tabid/152/ctl/eresults... 1 van 70 20/03/2014 11:55 EnqueteDescription 2 van 70 20/03/2014 11:55 3 van 70 20/03/2014 11:55 4 van 70 20/03/2014 11:55 5 van 70 20/03/2014 11:55 6 van 70 20/03/2014 11:55 7 van 70 20/03/2014 11:55

More information

IAC Ch 132, p.1. 641 132.1 (147A) Definitions. For the purpose of these rules, the following definitions shall apply:

IAC Ch 132, p.1. 641 132.1 (147A) Definitions. For the purpose of these rules, the following definitions shall apply: IAC Ch 132, p.1 641 132.1 (147A) Definitions. For the purpose of these rules, the following definitions shall apply: Ambulance means any privately or publicly owned ground vehicle specifically designed,

More information

Understanding Financial Statements. For Your Business

Understanding Financial Statements. For Your Business Understanding Financial Statements For Your Business Disclaimer The information provided is for informational purposes only, does not constitute legal advice or create an attorney-client relationship,

More information

CLUB RATIO PRIVATE ANALYSIS AND FINANCIAL OPERATIONS HEALTH OF THE CLUB TRACKING THE FINANCIAL WHY CLUBS MONITOR RATIOS LIQUIDITY RATIOS

CLUB RATIO PRIVATE ANALYSIS AND FINANCIAL OPERATIONS HEALTH OF THE CLUB TRACKING THE FINANCIAL WHY CLUBS MONITOR RATIOS LIQUIDITY RATIOS FINANCIAL RATIO ANALYSIS AND PRIVATE CLUB OPERATIONS TRACKING THE FINANCIAL HEALTH OF THE CLUB B Y P H I L I P N E W M A N Private clubs are mission driven serving members is the primary goal. Accordingly,

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject References Emergency Medical Services Administrative Policies and Procedures Authorization of Ambulance Provider Agencies in Kings County California

More information

Billing for Performance: Determining Billing Methods that Encourage Performance in Community Transportation

Billing for Performance: Determining Billing Methods that Encourage Performance in Community Transportation Monast and Downs 1 Billing for Performance: Determining Billing Methods that Encourage Performance in Community Transportation Kai Monast Institute for Transportation Research and Education North Carolina

More information

TRANSPORTATION SERVICES

TRANSPORTATION SERVICES TRANSPORTATION SERVICES ADMINISTRATIVE POLICY Policy Number: TRANSPORT 002.15 T2 Effective Date: March 1, 2015 Table of Contents CONDITIONS OF COVERAGE... BENEFIT CONSIDERATIONS... COVERAGE RATIONALE...

More information

RN HELICOPTER. We have fulltime, part-time and casual positions available.

RN HELICOPTER. We have fulltime, part-time and casual positions available. RN HELICOPTER Life Link III s helicopter service provides on-scene emergency response and inter-facility transport. Our helicopters are equipped to handle any type of critically ill or injured patient.

More information

EMERGENCY MEDICAL SERVICES SPECIALIST POSITION SUMMARY

EMERGENCY MEDICAL SERVICES SPECIALIST POSITION SUMMARY County of Santa Clara Emergency Medical Services System Emergency Medical Services Agency 976 Lenzen Avenue, Suite 1200 San Jose, CA 95126 408.885.4250 voice 408.885.3538 fax www.sccemsagency.org HIRING

More information

Implementing KPIs in your Ambulance Billing Department. By Donna Magnuson. Whitepaper

Implementing KPIs in your Ambulance Billing Department. By Donna Magnuson. Whitepaper $ $ $ Implementing KPIs in your Ambulance Billing Department By Donna Magnuson Whitepaper Implementing KPIs in your Ambulance Billing Department Key Performance Indicators (KPIs) are quantifiable measurements

More information

Ambulance Study Committee. Executive Summary November 30 2015

Ambulance Study Committee. Executive Summary November 30 2015 Ambulance Study Committee Executive Summary November 30 2015 Purpose The Tyngsborough Ambulance Study Committee has been established to review, evaluate, and make recommendations regarding the addition

More information

Northwest EMS, Inc. Serving the communities of northwestern Lancaster County

Northwest EMS, Inc. Serving the communities of northwestern Lancaster County Northwest EMS, Inc. Serving the communities of northwestern Lancaster County Annual Report 2014 We once again thank you for your support of Northwest EMS. We depend on you to close the gap between our

More information

Issued and entered this 23 rd day of December 2009 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND

Issued and entered this 23 rd day of December 2009 by Ken Ross Commissioner ORDER I PROCEDURAL BACKGROUND In the matter of STATE OF MICHIGAN DEPARTMENT OF ENERGY, LABOR & ECONOMIC GROWTH OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation XXXXX Petitioner

More information

FI3300 Corporation Finance

FI3300 Corporation Finance Learning Objectives FI3300 Corporation Finance Spring Semester 2010 Dr. Isabel Tkatch Assistant Professor of Finance Explain the objectives of financial statement analysis and its benefits for creditors,

More information

GAO AMBULANCE PROVIDERS. Costs and Medicare Margins Varied Widely; Transports of Beneficiaries Have Increased. Report to Congressional Committees

GAO AMBULANCE PROVIDERS. Costs and Medicare Margins Varied Widely; Transports of Beneficiaries Have Increased. Report to Congressional Committees GAO United States Government Accountability Office Report to Congressional Committees October 2012 AMBULANCE PROVIDERS Costs and Medicare Margins Varied Widely; Transports of Beneficiaries Have Increased

More information

Medicare # Medicaid # company policy expiration automobile liability company policy expiration aircraft liability company policy expiration

Medicare # Medicaid # company policy expiration automobile liability company policy expiration aircraft liability company policy expiration Department of Human Services EMS and Trauma Systems Program Ambulance Service Facilities and Records Inspection Form INITIAL INSPECTION RE-INSPECTION ANNOUNCED INSPECTION SELF INSPECTION Agency Name: Contact

More information

Public Safety Program includes the services and activities of two City departments: Fire and Life Safety Department and Police Department.

Public Safety Program includes the services and activities of two City departments: Fire and Life Safety Department and Police Department. PUBLIC SAFETY PROGRAM Public Safety Program includes the services and activities of two City departments: Fire and Life Safety Department and Police Department. Programs: Fire Department Administration

More information

EMD Roles and Responsibilities

EMD Roles and Responsibilities EMD Roles and Responsibilities Objectives List/Explain 5 Functions of the EMD Know the attributes for a Successful Dispatcher Know the General Roles and Responsibility of the EMD List 3 phases of Dispatch

More information

From the FTA 5310 Circular (C9070.1F): 1. ELIGIBLE CAPITAL EXPENSES. Funds for the Section 5310 program are available for capital expenses as defined

From the FTA 5310 Circular (C9070.1F): 1. ELIGIBLE CAPITAL EXPENSES. Funds for the Section 5310 program are available for capital expenses as defined From the FTA 5310 Circular (C9070.1F): 1. ELIGIBLE CAPITAL EXPENSES. Funds for the Section 5310 program are available for capital expenses as defined in Section 5302(a)(1) to support the provision of transportation

More information

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.

More information

PROFESSOR S NAME ACC 255 FALL 2011 COVER SHEET FOR COMPREHENSIVE PROBLEM 2 (CHAPTERS 2, 5-8)

PROFESSOR S NAME ACC 255 FALL 2011 COVER SHEET FOR COMPREHENSIVE PROBLEM 2 (CHAPTERS 2, 5-8) COMPREHENSIVE PROBLEM 2 (CHAPTERS 2, 5-8) Page 137 NAME ANSWER KEY PROFESSOR S NAME SECTION SCORE ACC 255 FALL 2011 COVER SHEET FOR COMPREHENSIVE PROBLEM 2 (CHAPTERS 2, 5-8) INSTRUCTIONS: COMPLETE ALL

More information

TN No: 09-007 Supersedes Approval Date: 01/21/10 Eff. Date: 07/01/09 TN No: 07-003

TN No: 09-007 Supersedes Approval Date: 01/21/10 Eff. Date: 07/01/09 TN No: 07-003 Section 23, Page 1 23. Any other medical care and any other type of remedial care recognized under State law, specified by the Secretary. a. Transportation 1. AMBULANCE- Ambulance Transportation services

More information

Chapter 2 Applying Time Value Concepts

Chapter 2 Applying Time Value Concepts Chapter 2 Applying Time Value Concepts Chapter Overview Albert Einstein, the renowned physicist whose theories of relativity formed the theoretical base for the utilization of atomic energy, called the

More information

Small Fish in a Big Pond: EMS Issues in Greater Minnesota Gary Wingrove & Aarron Reinert

Small Fish in a Big Pond: EMS Issues in Greater Minnesota Gary Wingrove & Aarron Reinert Small Fish in a Big Pond: EMS Issues in Greater Minnesota Gary Wingrove & Aarron Reinert Why should rural communities be concerned about their local ambulance service? Because if they aren t, they might

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES Manual Subject References Emergency Medical Services Administrative Policies and Procedures Authorization of Ambulance Provider Agencies in Madera County California

More information

Clinical Medical Policy Ambulance Transportation

Clinical Medical Policy Ambulance Transportation The intent of this policy is to provide criteria to determine medical necessity for ambulance transportation when authorization is required. for Medicaid Products including: RIte Care, Substitute Care,

More information

Overview of the Connecticut Non-Emergency Medical Transportation Program

Overview of the Connecticut Non-Emergency Medical Transportation Program Supplement 4 to page 9(e) of ATTACHMENT 3.1-A Page 1 SERVICES PROVIDED TO THE CATEGORICALLY NEEDY Overview of the Connecticut Non-Emergency Medical Transportation Program 1. Introduction The Department

More information

Non-Emergency Medical Transportation Reviews

Non-Emergency Medical Transportation Reviews Table of Contents Non-Emergency Medical Transportation Reviews Focusing on Compliance OIG 99-0269 BACKGROUND................................Pg 1 Non-emergency medical transportation expenditures have increased

More information